Individual
MRS. KARENA DIANE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3534 BROOKLYN AVE, FORT WAYNE, IN 46809
(260) 478-5230
(260) 478-5235
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
(260) 459-9262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000482874
ANTHEM BCBS
IN
01
—
100257920
MEDICAID - GROUP
IN
01
—
1424
PHP
IN
05
—
200838660
—
IN
01
—
35179001202
CARESOURCE
IN
01
—
4423623
AETNA
IN
Enumeration date
12/15/2006
Last updated
05/16/2011
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